Ngaba umntwana wakho omncinci uyakhala ngaphandle kwesizathu? Ngaba nawe uvakalelwa kukuba andisakwazi ukumelana nale nto? Kuqhelekile ukuziva ngaloo ndlela njengomama okanye utata. Kodwa ungaze umphakamise umntwana wakho umshukumise ngamandla ngenxa yomsindo okanye ukucaphuka. Imizuzwana embalwa yokungakhathali inokonakalisa ubomi bomntwana bonke. Namhlanje sithetha ngaloo ngozi ibulalayo, oko kukuthi, 'Shaken Baby Syndrome'.
Ngamafutshane, yintoni iShaken Baby Syndrome?
I-Shaken Baby Syndrome yimeko apho usana okanye umntwana omncinci eshukunyiswa ngamandla nangogonyamelo, nto leyo ebangela umonakalo engqondweni. Elinye igama lale nto 'yi-abusive head trauma'. Oko kukuthi, ukwenzakala okuxhaphazayo entloko.
Cinga nje, intloko yomntwana inkulu kakhulu kwaye inzima xa ithelekiswa nomzimba wakhe wonke. Kwakhona, izihlunu zentamo yakhe azikaqini ngokwaneleyo. Ngoko ke xa umntu eshukumisa umntwana ngamandla, ingqondo ethambileyo, efana nejeli ngaphakathi kwekhakayi igxuma ngokukhawuleza. Oku kushukumisa kubangela ukuba imithambo yegazi ethambileyo engqondweni nangaphakathi iqhekeke kwaye yophe igazi. Ingqondo nayo ingadumba. Le yimeko embi enokwenzeka nokuba kushukunyiswa okufutshane kangangemizuzwana emi-5 . Lo monakalo unokubeka amehlo, intamo, kunye nomqolo womntwana emngciphekweni. Isiphumo kukulimala kwengqondo okungapheliyo, ukukhubazeka okungapheliyo, okanye ukufa.
Kutheni umntu enokushukumisa umntwana omncinci ngolu hlobo?
Oku kwenzeka rhoqo xa umzali okanye umntu ogcina umntwana engakwazi ukulawula umsindo okanye ukucaphuka xa umntwana ekhala rhoqo. Banokucinga ukuba ukumshukumisa umntwana kuya kuyekisa ukukhala.
Iimbopheleleko eziza nokuba ngumama okanye utata omtsha ngamanye amaxesha zinokuba nzima kakhulu. Ezinye iingxaki zosapho kunye neengxaki zemali zinokongeza kuxinzelelo. Ngamaxesha anje, xa umntwana ekhala engayeki, kunokuba nzima kakhulu. Abanye abantu abaqondi nokuba ukushukumisa umntwana omncinci kunokuba yingozi kangaka.
Eyona nto ibalulekileyo yile. Kuqhelekile ukuba iintsana zilile. Ngamanye amaxesha aziyeki ukukhala nokuba wenza ntoni na. Kodwa impendulo kukuba ungaze ungcangcazele, ubethe, okanye ulahle umntwana.
Ngubani ochaphazeleka kakhulu yile meko?
I-Shaken Baby Syndrome yimeko eyingozi enokwenzeka kumntwana kuyo nayiphi na intsapho, nakweyiphi na inqanaba lezoqoqosho, nakweyiphi na intlanga. Idla ngokubangelwa ngumntu oyintloko onyamekela umntwana, umama okanye utata. Inokwenzeka nakwabanye abanakekeli (abagcini babantwana) okanye izalamane.
Iintsana ezingaphantsi konyaka omnye ubudala zisengozini enkulu, ingakumbi phakathi kweenyanga ezi-2 nezi-8 .Iintsana zezona zisengozini kakhulu kule ngozi. Nangona le meko idla ngokungaxhaphakanga kubantwana abaneminyaka engaphezu kwemi-2 ubudala, ngamanye amaxesha abantwana abaneminyaka emi-6 ubudala baye baxhatshazwa ngolu hlobo.
Yintoni ebangela umonakalo engqondweni nasemzimbeni womntwana kukungcangcazela?
Le yeyona nxalenye ibalulekileyo ekufuneka siyiqonde sonke. Zininzi iingozi ezinokubangelwa kukushukumisa umntwana kakhulu.
| Umonakalo obangelwe | Ingcaciso elula |
|---|---|
| I-hematoma engaphantsi kwe-subdural | Ingqokelela yegazi phakathi komphezulu wobuchopho kunye ne-membrane egqumayo. Oku kwenzeka xa imithambo yegazi ebuthathaka igqabhuka ngexesha lokuxinwa yingqondo. |
| Ukopha kwegazi kwi-Subarachnoid | Ukopha phakathi kwengqondo kunye ne-membrane efana nesigcawu eyijikelezileyo. |
| Ukulimala kwengqondo ngqo | Ingqondo iyatyunyuzwa kwaye yonakaliswe kukungqubana okukhawulezileyo kwengqondo ngaphakathi kwekhakayi. |
| Ukopha kwegazi kwi-retina | Ukopha igazi kwi-retina ngasemva kweliso. Olu luphawu oluphambili lwe-Shaken Baby Syndrome. |
| Ukonakala kwengqondo ngenxa yokunqongophala kweoksijini | Ukuba umntwana uyeka ukuphefumla xa engcangcazela, ingqondo inokuphelelwa yioksijini kwaye iiseli zengqondo zinokufa. |
| Ukulimala entanyeni nasemqolo | Izihlunu zentamo ezibuthathaka kunye namathambo omqolo zinokonakala, nto leyo ebangela umonakalo kwimithambo-luvo ekwintambo yomqolo. |
| Ukuqhekeka kwamathambo | Ukophuka kungenzeka kwikhakayi, kwiimbambo, kwi-collarbone, ezingalweni nasemilenzeni. |
Zithini iimpawu zale meko?
Ezinye iimpawu zinokuvela kwangoko emva kokuba umntwana ezelwe. Ezinye zinokufikelela kwinqanaba eliphezulu phakathi kweeyure ezi-4 nezi-6. Kwakhona, ezinye iimpawu ezibangelwa kukonakala (iingxaki zokuziphatha, ukukhubazeka kokufunda) zinokuvela kamva ebomini.
Iimpawu eziqatha nezikhawulezileyo
- Ukulahlekelwa yingqondo
- Ukuxhuzula
- Umothuko
Ezinye iimpawu eziqhelekileyo
- Ukuncuma, ukungathethi.
- Ucaphuka kakhulu, ulila rhoqo
- Ukuhlanza
- Ukulahlekelwa ngumdla wokutya, ukwala ukusela ubisi
- Ubunzima bokuphefumla
- Ukudinwa, imeko yokuba nomsindo rhoqo kwaye ungakwazi ukuvuswa
- Ulusu olukhanyayo okanye oluluhlaza okwesibhakabhaka
- Imivumbo kwiingalo okanye esifubeni
- Intloko enkulu okanye ibunzi elibonakala lingaqhelekanga
- Indawo ethambileyo ephezu kwentloko (ibunzi eligobileyo) idumbile.
- Ukungakwazi ukubamba intamo ngokufanelekileyo
- Abafundi abavulelekileyo
- Ukungakwazi ukujolisa amehlo kwindawo enye, ukungakwazi ukujonga izinto ezihambayo
- Iingxolo
- Ukungena kwi-coma
Ngamanye amaxesha, kusenokungabikho zilonda zangaphandle okanye imivumbo ebonakalayo emzimbeni womntwana. Ngoko ke, umntu ongaziyo ukuba umntwana ushukunyisiwe unokucinga ukuba esi sisifo esiqhelekileyo sentsholongwane njengomkhuhlane. Leyo yeyona nto iyingozi apha.
Ugqirha uyixilonga njani le nto?
Le meko ngamanye amaxesha kunzima ukuyiqonda. Kuba,
- Umntu ozise umntwana usenokungamxeleli ugqirha inyaniso ngokumshukumisa umntwana.
- Usana alukwazi ukubona apho lubuhlungu khona okanye kwenzeke ntoni.
- Iimpawu ezifana nokuhlanza nokucaphuka ziimpawu eziqhelekileyo zezinye izifo.
Ngoko ke, ugqirha uhlola umntwana ngononophelo kwaye, ukuba kuyimfuneko, wenza iimvavanyo ezikhethekileyo ezininzi.
- Uvavanyo lwamehlo: Ukuhlolwa kwegazi kwi-retina.
- Ii-X-reyi: Jonga ukuba azikho na izaphuko ekhayeni, ezimbanjeni, okanye emalungeni.
- I-CT scan (i-Computed Tomography scans): Olu vavanyo lubaluleke kakhulu ukuze kufunyanwe ukudumba, ukopha, kunye neminye imonakalo engqondweni.
- Iiskeni zeMRI (iiskeni zeMagnetic Resonance Imaging): Nokuba umonakalo ongabonakaliyo engqondweni unokubonakala ngokucacileyo.
Unyango kunye nemiphumo yexesha elide
Ukuba umntwana wakho unezinye zezi mpawu, kufuneka umse ngokukhawuleza kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele . Esi asisosifo esinokunyangwa ekhaya.
Unyango luxhomekeke kubukhulu bomonakalo kumntwana. Usenokunikwa amayeza uze ugcinwe esibhedlele ukuze ujongwe. Kwiimeko ezinzima, utyando olusindisa ubomi lunokufuneka. Utyando lunokufuneka ukuze kumiswe ukopha engqondweni kwaye kuncitshiswe ukudumba.
Iziphumo zexesha elide zale meko azintle kangako.
- Malunga nama-25% eentsana ezinale meko ziyafa .
- Phantse ama-80% abo basindayo baya kuba neengxaki ezinkulu zemithambo-luvo kunye nokukhubazeka ubomi babo bonke.
Ezinye zeengxaki ezingapheliyo ezinokubangelwa koku zezi:
- Ukukhubazeka kokuthetha nokufunda
- Ukulahlekelwa ngumbono okanye ubumfama
- Ukulahlekelwa ngokupheleleyo kukuva
- Umvakalelo yokitazo
- Isifo sokuwa
- Ukuxhuzula rhoqo
- Ukukhubazeka komzimba
Singayithintela njani le ntlekele?
Le yeyona nxalenye ibalulekileyo. I-Shaken Baby Syndrome inokuthintelwa nge-100% . Kuqhelekile ukuziva ukhathazekile kwaye uxinezelekile xa umntwana ekhala. Okubalulekileyo yindlela esisingatha ngayo le ngxaki.
Ukuba uziva ngathi uphantsi koxinzelelo olukhulu, zama ezi zinto:
1. Okokuqala, jonga iimfuno ezisisiseko zomntwana: Ngaba inabukeni yomntwana imanzi? Ngaba ulambile? Ngaba uyabanda? Ngaba uneempawu zokugula, ezinje ngomkhuhlane okanye ukudumba? Ngaba unentlungu emzimbeni wakhe.
2. Zama ukuzolisa umntwana:
- Cula ingoma, thetha nosana.
- Dlala umculo othambileyo. Abanye abantwana bayakuthanda nomculo wokucoca nge-vacuum okanye wokomisa iinwele.
- Nika i-pacifier.
- Msonge umntwana ngelaphu ngokuqinileyo (iswaddle).
- Yibeke kakuhle kwisitulo semoto uze uhambe kancinci.
- Yifake kwi-stroller uze uhambe.
3. Cela uncedo: Le yeyona nto ilungileyo onokuyenza. Ukuba udiniwe okanye unomsindo, cela umhlobo othembekileyo, isalamane, okanye ummelwane ukuba ajonge umntwana imizuzu embalwa. Akukho ntloni ukucela uncedo.
4. Indlela yokugqibela: Ukuba akukho mntu ukhoyo ukukunceda, shiya umntwana kwindawo ekhuselekileyo, njengebhedi yakhe, uze uphume egumbini . Yiya kwelinye igumbi imizuzu emi-5 ukuya kweli-10 ukuze uzole. Tsala umoya onzulu. Emva koko buyela kumntwana.
Ukukhala komntwana akuyi kumlimaza, kodwa ukuba uyangcangcazela, kunokubangela ingozi enkulu.
Kwakhona, ukuba unika umntwana wakho komnye umntu (umnakekeli womntwana, umnakekeli), mkhethe ngononophelo. Qinisekisa ukuba unolwazi olucacileyo malunga neengozi zeShaken Baby Syndrome. Ungaze umshiye umntwana wakho nomntu ongamthembiyo ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- I-Shaken Baby Syndrome kukwenzakala okunzulu nokubulalayo engqondweni okubangelwa kukushukumisa umntwana ngamandla.
- Ngenxa yokuba iintsana zinentamo ezibuthathaka neentloko ezinkulu xa kuthelekiswa nemizimba yazo, kulula ukuba zifumane le ngozi.
- Kuqhelekile ukuziva ukhathazekile kwaye unomsindo xa umntwana wakho ekhala ngokungapheliyo. Kodwa kubalulekile ukulawula ezo mvakalelo.
- Ukuba uziva ngathi awukwazi ukulawula imeko, beka umntwana kwindawo ekhuselekileyo uze uhambe umzuzwana ukuze uzole. Ungaze ungathandabuzi ukucela uncedo.
- Le meko inokuthintelwa nge-100%. Ukuqonda kwakho nomonde wakho kuya kusindisa ubomi bomntwana wakho.
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